Individual
HEIDI WALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
SLP
Contact information
Practice address
271 W WASHINGTON ST STE 100, MADISON, GA 30650-1248
(706) 343-4444
(707) 736-7250
Mailing address
271 W WASHINGTON ST STE 100, MADISON, GA 30650-1248
(706) 343-4444
(707) 736-7250
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SLP004890
GA
Other
Enumeration date
06/16/2026
Last updated
06/16/2026
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